Patent application number | Description | Published |
20080221596 | APPLIER FOR FASTENER FOR SINGLE LUMEN ACCESS ANASTOMOSIS - An applier ( | 09-11-2008 |
20080249806 | Data Analysis for an Implantable Restriction Device and a Data Logger - An implantable restriction device can be configured to provide a restriction in a patient, for example as a function of the pressure of fluid. The implantable restriction device can include one or more sensors configured to sense a variety of parameters, such as pressure of the fluid within the implantable restriction device, pulse width, pulse amplitude, pulse count, pulse duration, or frequency, electrical characteristics, or other parameters. Data obtained by the one or more sensors (for example, the data representing pressure, pulse characteristics, and so on) may be communicated to a device located external to the patient, such as a data logger, using telemetry coils or other communicators. The data logger may store the data, and may communicate the data to a remote location via a network such as the Internet. A docking station may be provided to couple the data logger to a network and/or to recharge a cell in the data logger. The logged data may be analyzed and/or displayed using a variety of techniques to assess and/or track the condition of the restriction device or of the patient, to monitor patient physiology, or for other purposes. | 10-09-2008 |
20080250340 | GUI for an Implantable Restriction Device and a Data Logger - An implantable restriction device can be configured to provide a restriction in a patient, for example as a function of the pressure of fluid. The implantable restriction device can include one or more sensors configured to sense a variety of parameters, such as pressure of the fluid within the implantable restriction device, pulse width, pulse amplitude, pulse count, pulse duration, or frequency, electrical characteristics, or other parameters. Data obtained by the one or more sensors (for example, the data representing pressure, pulse characteristics, and so on) may be communicated to a device located external to the patient, such as a data logger, using telemetry coils or other communicators. The data logger may store the data, and may communicate the data to a remote location via a network such as the Internet. A docking station may be provided to couple the data logger to a network and/or to recharge a cell in the data logger. The logged data may be analyzed and/or displayed using a variety of techniques to assess and/or track the condition of the restriction device or of the patient, to monitor patient physiology, or for other purposes. | 10-09-2008 |
20080250341 | Gui With Trend Analysis for an Implantable Restriction Device and a Data Logger - An implantable restriction device can be configured to provide a restriction in a patient, for example as a function of the pressure of fluid. The implantable restriction device can include one or more sensors configured to sense a variety of parameters, such as pressure of the fluid within the implantable restriction device, pulse width, pulse amplitude, pulse count, pulse duration, or frequency, electrical characteristics, or other parameters. Data obtained by the one or more sensors (for example, the data representing pressure, pulse characteristics, and so on) may be communicated to a device located external to the patient, such as a data logger, using telemetry coils or other communicators. The data logger may store the data, and may communicate the data to a remote location via a network such as the Internet. A docking station may be provided to couple the data logger to a network and/or to recharge a cell in the data logger. The logged data may be analyzed and/or displayed using a variety of techniques to assess and/or track the condition of the restriction device or of the patient, to monitor patient physiology, or for other purposes. | 10-09-2008 |
20090120994 | Surgical Fastening Device With Initiator Impregnation of a Matrix or Buttress to Improve Adhesive Application - A material comprising a matrix or a buttress is impregnated with an adhesive initiator and is used with a surgical stapling device and an adhesive. The tissue and material are stapled together, and a knife in the surgical stapling device cuts the tissue and the material. The adhesive is applied across the cut and sets up or polymerizes to seals the cut when the adhesive contacts the adhesive initiator. The surgical stapling device can place the staples in a linear, arcuate, or circular array, and can anastomose luminal tissue. The methods of use can include stapling luminal tissue end to end, stapling two portions of material onto ether side of tissue, and stapling two portions of tissue onto a portion of material. Additionally, a portion of adhesive filed material can be stapled onto one side of portion of tissue and the adhesive initiator impregnated material can be stapled onto the other. Cutting the material and tissue provides a path for the adhesive across the cut, and catalyzes the adhesive from contact with the adhesive initiator. | 05-14-2009 |
20090149874 | METHODS FOR IMPLANTING A GASTRIC RESTRICTION DEVICE - Various exemplary methods are disclosed for implanting a restriction device for forming a restriction in a patient. The methods can be used with a variety of restriction devices, but in an exemplary embodiment the methods are used for implanting a gastric restriction device. | 06-11-2009 |
20090157113 | WEARABLE ELEMENTS FOR IMPLANTABLE RESTRICTION SYSTEMS - Various wearable elements are provided for a more comfortable and efficient way of carrying external devices related to powering and monitoring an implantable restriction device. In one exemplary embodiment, a system for forming a restriction in a patient is provided and includes an implantable restriction device adapted to form a restriction in a patient and having an implantable communicating member configured to send and/or receive a wireless signal. The system can further include a wearable element configured to be worn by a patient and an external device coupled to the wearable element which is configured to send and/or receive a wireless signal to communicate with the implantable communicating member. | 06-18-2009 |
20090171378 | CONSTANT FORCE MECHANISMS FOR REGULATING RESTRICTION DEVICES - Methods and devices are provided for regulating a restriction system. In one exemplary embodiment, a restriction system is provided having a restriction device coupled to a port with a fluid disposed therein, such that the restriction device is adapted to form a restriction in a pathway corresponding to an amount of fluid contained therein, and a pressure adjustment unit in communication with the port and effective to maintain a substantially constant equilibrium pressure between the pressure adjustment unit and the restriction device. The pressure adjustment unit is configured to regulate an amount of fluid in the restriction device in response to a fluid pressure acting thereon. | 07-02-2009 |
20090187202 | OPTIMIZING THE OPERATION OF A RESTRICTION SYSTEM - Methods and devices for optimizing the operation of a restriction system for forming a restriction in a patient are disclosed. In one exemplary embodiment, a method for optimizing the operation of a gastric restriction system includes providing an implantable restriction system for forming a restriction in a patient, determining an optimum value of a control parameter of the restriction system, and maintaining the control parameter at the optimum value such that a result parameter of the restriction system is substantially convergent as a function of time. Determining an optimum value of a control parameter can generally include adjusting the restriction device, determining the value of the control parameter to be optimized, and repeating the steps of adjusting the restriction device and determining the value of the control parameter until the control parameter is substantially convergent as a function of time. | 07-23-2009 |
20090192404 | METHODS AND DEVICES FOR MEASURING IMPEDANCE IN A GASTRIC RESTRICTION SYSTEM - Methods and devices are provided for gathering impedance data related to implantable restriction devices. In general, the methods and devices can enable patients, health care providers, and others to use gathered data as a feedback mechanism to non-invasively monitor efficacy of an implantable restriction device in a patient and to identify, modify, and/or prescribe a treatment plan for the patient considering the gathered data. Impedance data can be gathered and analyzed for tissue proximate to the restriction device, e.g., a fat pad between a gastric band and the patient's stomach. Electrodes in contact with the tissue can measure an impedance of the tissue, with the impedance between the electrodes changing as the tissue reduces in size (e.g., as fat cells shrink) and/or changes configuration. | 07-30-2009 |
20090192415 | GASTRIC RESTRICTION DEVICE DATA HANDLING DEVICES AND METHODS - Methods and devices are provided for handling data in an implantable restriction system. In general, the methods and devices allow collection, analysis, storage, and transmission of pressure measurements. Pressure measurement data can be compressed before storing it. Additionally, not all pressure data need be recorded or retained, such as data substantially equaling a resting or nominal pressure of an implantable restriction device indicative of little to no pressure variation and data indicative of isolated, non-recurring events. Any pressure measurement data that is recorded can be transmitted to an external device using power telemetrically provided by the external device. | 07-30-2009 |
20090192533 | METHODS AND DEVICES FOR DIAGNOSING PERFORMANCE OF A GASTRIC RESTRICTION SYSTEM - Methods and devices are provided for diagnosing performance of a gastric restriction system. In general, the methods and devices can enable patients, health care providers, and others to use pressure data as a feedback mechanism to monitor efficacy of an implantable restriction device and to identify, train, and/or prescribe treatment plan options. Pressure data monitoring can be used locally and/or remotely to monitor a restriction in a patient and compare gathered pressure data with a typical pressure of the restriction. Based on the results of the comparison, possible problems related to the patient and the restriction can be identified and diagnosed with possible cause(s) and solution(s). Notice of any detected possible problems, causes, and/or solutions can be provided to a user. | 07-30-2009 |
20090192534 | SENSOR TRIGGER - Methods and devices for effecting a gastric restriction system are disclosed. In one exemplary embodiment, a restriction system for forming a restriction in a patient is provided and can include an implantable restriction device and at least one implantable sensor that is in communication with the restriction device. In general, the implantable restriction device can be adjustable and can be configured to form a restriction in a patient. The implantable sensor(s) can be defaulted to a dormant power usage mode and can have a triggering mechanism that is configured to place the sensor(s) in a use configuration upon the occurrence of a triggering event. | 07-30-2009 |
20090192541 | METHODS AND DEVICES FOR PREDICTING PERFORMANCE OF A GASTRIC RESTRICTION SYSTEM - Methods and devices are provided for predicting performance of a restriction system for a patient. In general, the methods and devices can allow detection and prediction of a trajectory of a particular patient attribute, such as weight loss. Using previously gathered data values, data values defining a future outcome can be predicted and compared with a desired future outcome. If the future outcome deviates from the desired future outcome, one or more corrective actions can be suggested to a patient and/or a health care provider to help align the patient's treatment plan with the desired future outcome rather than the currently predicted future outcome. | 07-30-2009 |
20090202387 | SYSTEM AND METHOD OF STERILIZING AN IMPLANTABLE MEDICAL DEVICE - An implantable system having internal circuitry configured to withstand a pre-determined amount of sterilization radiation is provided. In general, the system includes an internal control module in electrical communication with an implantable medical device. The internal control module can include a circuit board configured to withstand radiation and/or any number of integrated circuits (e.g., application specific integrated circuits) wherein the circuits or at least some portion thereof are fabricated so as to withstand some amount of radiation. For example, some portion of the circuitry can be fabricated utilizing radiation compliant material(s), silicon-on-insulator technology, and/or gallium arsenide technology. Additionally, the circuitry can include various components which are inherently resistant to such radiation (e.g., components fabricated utilizing magnetic field based technology, surface acoustical wave devices, etc.). A method of sterilizing an implantable medical device via radiation is also provided. | 08-13-2009 |
20090204131 | AUTOMATICALLY ADJUSTING BAND SYSTEM WITH MEMS PUMP - Devices and methods for forming a restriction in a patient are disclosed. In one exemplary embodiment, a restriction system is provided including an implantable restriction device, an implantable port in fluid communication with the implantable restriction device, and an implantable pump in fluid communication with the restriction device. In general, the implantable restriction device is adjustable and configured to form a restriction in a patient, and the implantable port is configured to receive fluid from a fluid source external to the patient. The implantable pump is a micro-electro-mechanical systems (MEMS) device effective to create pumping action to move fluid through the pump. | 08-13-2009 |
20090204132 | AUTOMATICALLY ADJUSTING BAND SYSTEM - Devices and methods for forming a restriction in a patient are disclosed. In one exemplary embodiment, a restriction system is provided including an implantable restriction device, an implantable port in fluid communication with the implantable restriction device, and an implantable pump in fluid communication with the restriction device. In general, the implantable restriction device is adjustable and configured to form a restriction in a patient, and the implantable port is configured to receive fluid from a fluid source external to the patient. The implantable pump has a plurality of actuators configured to change shape upon the application of energy thereto such that sequential activation of the plurality of actuators is effective to create pumping action to move fluid through the pump. | 08-13-2009 |
20090204141 | POWERING IMPLANTABLE RESTRICTION SYSTEMS USING KINETIC MOTION - Various powering devices are provided for transferring and/or generating energy from numerous sources to a communicating member implanted in a patient. The energy transferred to or generated by the communicating member can be used to provide power to an implantable restriction system configured to form a restriction in a pathway. | 08-13-2009 |
20090204178 | POWERING IMPLANTABLE RESTRICTION SYSTEMS USING LIGHT - Various powering devices are provided for transferring and/or generating energy from numerous sources to a communicating member implanted in a patient. The energy transferred to or generated by the communicating member can be used to provide power to an implantable restriction system configured to form a restriction in a pathway. | 08-13-2009 |
20090204179 | POWERING IMPLANTABLE RESTRICTION SYSTEMS USING TEMPERATURE - Various powering devices are provided for transferring and/or generating energy from numerous sources to a communicating member implanted in a patient. The energy transferred to or generated by the communicating member can be used to provide power to an implantable restriction system configured to form a restriction in a pathway. | 08-13-2009 |
20090206124 | SURGICAL STAPLING APPARATUS WITH CONTROL FEATURES OPERABLE WITH ONE HAND - A surgical stapling apparatus. Various embodiments include a rotatable elongated body that extends from a rotatable shroud on handle assembly and has a distal end configured for attachment to a disposable loading unit. The apparatus further includes a lockable rotation system for selectively locking the rotatable shroud to prevent rotation thereof about a longitudinal axis. | 08-20-2009 |
20090206128 | SURGICAL STAPLING APPARATUS WITH RETRACTABLE FIRING SYSTEMS - A surgical stapling apparatus configured for use with disposable loading units. In various embodiments, the surgical stapling apparatus includes a retraction system that interfaces with an actuation shaft that is movably supported within a handle housing. The actuation shaft is configured to move axially within the handle housing from a fully retracted position to a fully fired position in response to manipulation of a movable handle operably mounted to the handle housing. The retraction system serves to automatically retract the actuation shaft to the fully retracted position when the actuation shaft has moved to the fully fired position. | 08-20-2009 |
20090206131 | END EFFECTOR COUPLING ARRANGEMENTS FOR A SURGICAL CUTTING AND STAPLING INSTRUMENT - In various embodiments, a surgical stapling instrument can include a handle, a shaft extending from the handle, wherein the shaft defines an axis, and a disposable loading unit which is assembled to the shaft in a direction which is transverse to the shaft axis. Such a connection between the disposable loading unit and the shaft can prevent, or at least inhibit, the disposable loading unit from being unintentionally displaced proximally and/or distally relative to the shaft of the surgical instrument. The surgical stapling instrument and/or disposable loading unit can further include a threaded collar and/or detent assembly configured to hold the disposable loading unit in place. In various embodiments, a disposable loading unit can include a lockout feature which can prevent, or at least inhibit, an expended disposable loading unit from being reassembled to the elongated body of the surgical instrument. | 08-20-2009 |
20090206132 | FEEDBACK AND LOCKOUT MECHANISM FOR SURGICAL INSTRUMENT - A surgical apparatus particularly suited for sequentially applying a plurality of fasteners to body tissue and simultaneously incising tissue is provided. A handle assembly includes a movable handle. The movable handle is movable through an actuation stroke. An elongate body extends distally from the handle assembly and defines a longitudinal axis. The elongate body has a distal end adapted to releasably engage both articulating and non-articulating disposable loading unit types. An actuation shaft is supported at least in part within the handle assembly and is mounted for longitudinal movement in response to manipulation of the actuation handle. An energy activated firing lockout system prevents operation of the surgical apparatus under a plurality of conditions. | 08-20-2009 |
20090206137 | DISPOSABLE LOADING UNITS FOR A SURGICAL CUTTING AND STAPLING INSTRUMENT - In various embodiments, a disposable loading unit for a surgical stapling instrument can include an anvil, a staple cartridge, a staple cartridge channel for operably supporting the staple cartridge, and a connector for removably attaching the disposable loading unit to the surgical instrument. In at least one embodiment, a first staple cartridge can be replaced with another staple cartridge after the first staple cartridge has been at least partially expended. In various embodiments, a staple cartridge can include a staple driver for deploying staples from the staple cartridge and a cutting member for incising tissue, wherein a new staple driver and a new cutting member can be provided with each new staple cartridge. The anvil can be removably attachable to the disposable loading unit such that a new anvil can be utilized with a new staple cartridge. | 08-20-2009 |
20090206140 | END EFFECTORS FOR A SURGICAL CUTTING AND STAPLING INSTRUMENT - In various embodiments, an anvil of a disposable loading unit including a first member having staple pockets for deforming staples, a first cover plate secured to the first member, and a second cover plate secured to at least one of the first member and the first cover plate, wherein the first and second cover plates can be configured to support the first member. In at least one embodiment, an anvil can include a first member inserted into a second member, where at least one of the first and second members can be deformed to retain one to the other. In various embodiments, a surgical stapling instrument can include a disposable loading unit comprising a staple cartridge, an anvil, and a sleeve, wherein the sleeve can be configured to be slid relative to the staple cartridge and the anvil to hold the anvil in a closed position. | 08-20-2009 |
20090206144 | DISPOSABLE LOADING UNIT WITH USER FEEDBACK FEATURES AND SURGICAL INSTRUMENT FOR USE THEREWITH - A disposable loading unit for operable attachment to a surgical stapling apparatus. The disposable loading unit may have a spent cartridge indication system for providing an indication of whether the loading unit has been previously fired. Other embodiments are disclosed that employ a blade monitoring system for providing feedback to the user concerning the amount of strain being experienced by the blade during cutting and stapling. | 08-20-2009 |
20090222028 | METHODS AND DEVICES FOR FIXING ANTENNA ORIENTATION IN A RESTRICTION SYSTEM - Various methods and devices are provided for constraining movement between two housings implanted under the skin. In one embodiment, a restriction system is provided and includes a first housing having a reservoir formed therein and configured to receive fluid, and a second housing spaced apart from and in fluid communication with the first housing. The second housing can have a sensor, for example, for measuring fluid pressure. A restriction device can be in fluid communication with the first and second housings and can be adapted to form a restriction in a pathway. A constraining element can be coupled to the first and second housings and can be configured to limit movement of the first and second housings relative to one another in at least one plane of motion. | 09-03-2009 |
20090222065 | Physiological Parameter Analysis for an Implantable Restriction Device and a Data Logger - An implantable restriction device can be configured to provide a restriction in a patient, for example as a function of the pressure of fluid. The implantable restriction device can include one or more sensors configured to sense a variety of parameters, such as pressure of the fluid within the implantable restriction device, pulse width, pulse amplitude, pulse count, pulse duration, or frequency, electrical characteristics, or other parameters. Data obtained by the one or more sensors (for example, the data representing pressure, pulse characteristics, and so on) may be communicated to a device located external to the patient, such as a data logger, using telemetry coils or other communicators. The data logger may store the data, and may communicate the data to a remote location via a network such as the Internet. A docking station may be provided to couple the data logger to a network and/or to recharge a cell in the data logger. The logged data may be analyzed and/or displayed using a variety of techniques to assess and/or track the condition of the restriction device or of the patient, to monitor patient physiology, or for other purposes. | 09-03-2009 |
20090275937 | METHOD AND APPARATUS FOR MARKING A LUMENAL WALL - A marking apparatus includes a selectively inflatable balloon. The balloon includes an external lumen adapted for connection to a vacuum source. The external lumen includes ports for creating a vacuum at the ports sufficient to draw walls of the gastric cavity into contact with the external lumen. The balloon is further provided with RF energy delivery devices. In accordance with an alternate embodiment, a marking apparatus includes an elongated, hollow body, the hollow body including a proximal end and a distal end. The hollow body includes at least one suction trough in which a plurality of holes is disposed to draw suction on tissue. The at least one suction trough extends along a substantial portion of the hollow body as it extends from its distal end to its proximal end. | 11-05-2009 |
20090275942 | BALLOON TISSUE DAMAGE DEVICE - An inflatable medical instrument for tissue damage in gastric reduction surgery includes a main chamber composed of a biocompatible material capable of being selectively inflated. The medical instrument also includes a longitudinally extending tab member secured to an outer surface of the main chamber, a series of suction holes are formed along the tab member and an electrode is mounted on the tab member. The present invention also provides a method for forming a tissue junction used in defining a gastric pouch including damaging opposed tissue layers, apposing the tissue layers and fastening the tissue layers to allow the tissue layers to heal together. | 11-05-2009 |
20090275961 | GASTRIC VOLUME REDUCTION USING ANTERIOR TO POSTERIOR WALL JUNCTIONS - A restriction system for joining anterior and posterior walls of a gastric cavity in the performance of the gastric reduction surgery includes a first restriction ring and a second restriction ring shaped and dimensioned for engagement with the first restriction ring for effectively decreasing the volume available within the gastric cavity. | 11-05-2009 |
20090275962 | TISSUE APPOSITION METHOD AND DEVICE INVOLVING SHEETS WITH INTEGRATED TENSIONING SYSTEM - A tensioning system for restricting the available volume of a gastric cavity includes a base material that is shaped and dimensioned for surgical attachment to surfaces on or within the body. Multiple tensioning members are incorporated into the base material, each of the tensioning members including a first end and a second end, wherein pulling upon the tensioning member will cause edges of the base material to be drawn together. The method for restricting the available volume of a gastric cavity includes securing edges of a tensioning system to the gastric cavity and drawing the edges of the tissue together to create a fold in the tissue. | 11-05-2009 |
20090275964 | METHOD OF ROLLING STOMACH TISSUE SO AS TO MAXIMIZE THE CONTACT SURFACE AREA OF A FOLD - A rolling instrument for rolling the outside surface of the stomach for reducing stomach volume in bariatric surgery includes an elongated tubular body that is sufficiently flexible to allow for access to the outside surface. The tubular body includes a proximal end and a distal end. The proximal end is shaped and dimensioned for use by the medical practitioner performing the medical procedure and includes a handle for manipulation of the rolling instrument. The distal end of the tubular body includes a mechanism allowing for gripping of the stomach in a manner permitting rolling thereof. A coiled retainer shaped and dimensioned is provided for application to the rolled portion of the stomach in a manner holding the rolled portion of the stomach in its rolled configuration. The coiled retainer includes a helically coiled body having a first end and a second end, the first end is pointed such that it may puncture tissue as the coiled body is rotated during its application to the stomach. | 11-05-2009 |
20090275967 | SAFE TISSUE PUNCTURE DEVICE - A method for safely penetrating the tissue of a gastric wall includes deploying a tissue puncture assembly including a suction device proximate the gastric wall tissue, applying a vacuum source to the suction device to draw a portion of the gastric wall tissue thereto and extending a needle through the portion of gastric wall tissue drawn into contact with the suction device. A device for safely penetrating the tissue of a gastric wall includes a tissue puncture assembly including a suction device in the form of a cup with suction ports therein and an open end. A needle is surrounded by the cup and extends through the cup toward the open end. | 11-05-2009 |
20090275975 | GASTRIC COIL MANIPULATOR - A gastric coil manipulator includes a longitudinally extending shaft having a distal end and a proximal end and a flexible element with a portion thereof extending beyond the distal end of the shaft for the creation of a resilient arc, wherein an actuator cable is secured to the flexible element for manipulation of the portion of the flexible element extending beyond the distal end of the shaft. | 11-05-2009 |
20100023022 | RELOADABLE LAPAROSCOPIC FASTENER DEPLOYING DEVICE WITH DISPOSABLE CARTRIDGE USE IN A GASTRIC VOLUME REDUCTION PROCEDURE - A cartridge containing a fastener. The cartridge has an elongated sheath containing at least one tissue penetrating member. The penetrating member at least partially houses a fastener. The fastener has at least two anchors connected together by a non-resilient flexible suture which does not resist deformation under compressible loads. The cartridge further includes a means for deploying the anchors, wherein the means is movable within the sheath. | 01-28-2010 |
20100023024 | RELOADABLE LAPAROSCOPIC FASTENER DEPLOYING DEVICE WITH DISPOSABLE CARTRIDGE FOR USE IN A GASTRIC VOLUME REDUCTION PROCEDURE - A reloadable device for deploying fasteners. The device has a handle and at least one actuator. The handle is connected to an elongated hollow housing having distal and proximal ends. The device has a first cartridge containing at least one fastener releasably connectable to the handle. The fastener has at least two anchors connected together by a non-resilient flexible suture which does not resist deformation under compressible loads. The device also includes a means, adjacent the handle, for facilitating removal of the first cartridge from the handle and replacing it with a second cartridge. | 01-28-2010 |
20100023025 | Reloadable laparoscopic fastener deploying device with disposable cartridge for use in a gastric volume reduction procedure - A method of deploying fasteners within a body by providing a device having a handle and at least one actuator. The handle is connected to an elongated hollow housing having distal and proximal ends, and a needle within the hollow housing. The device has a first cartridge containing at least one fastener releasably connectable to the distal end of the hollow housing. The fastener is at least partially housed within the needle and has at least two anchors connected together by a non-resilient flexible suture which does not resist deformation under compressible loads. The method uses the steps of inserting the distal end of the hollow housing to a target site within a body, attaching tissue together within the body by deploying the fastener, and removing the first cartridge and replacing it with a second cartridge. | 01-28-2010 |
20100023026 | RELOADABLE LAPAROSCOPIC FASTENER DEPLOYING DEVICE WITH DISPOSABLE CARTRIDGE FOR USE IN A GASTRIC VOLUME REDUCTION PROCEDURE - A reloadable device for deploying fasteners. The device has a handle and at least one actuator. The handle is connected to an elongated hollow housing having distal and proximal ends. The device includes a first cartridge containing at least one fastener releasably connectable to the handle. The fastener has at least two anchors connected together by a non-resilient flexible suture which does not resist deformation under compressible loads. The first cartridge is removable from the handle. The device includes a second cartridge having at least one fastener releasably connectable to the handle after removal of the first cartridge. The second cartridge being insertable into the device from a proximal end thereof. | 01-28-2010 |
20100114125 | METHOD OF REMOTELY ADJUSTING A SATIATION AND SATIETY-INDUCING IMPLANTED DEVICE - An system, including an implant for placement within a hollow body organ. The system includes a member having an undeployed shape for delivery within a hollow body and one or more deployed shapes for implantation therein. The member has sufficient rigidity in its deployed shape to exert an outward force against an interior of the hollow body so as to bring together two substantially opposing surfaces of the hollow body. The system includes an external means in communication with the member, the external means is remote from a patient, the external means comprises a means for remotely adjusting the shape of the member, and a means of powering the implant. | 05-06-2010 |
20100114141 | OPTIMIZING THE OPERATION OF AN INTRA-GASTRIC SATIETY CREATION DEVICE - A method for determining an optimum control parameter of a distension system for causing distension in a stomach. The method includes the step of providing an implantable distension system for causing distension in a stomach, the system including an adjustable distension device configured to form a distension in a stomach. The method also involves adjusting the distension device, and determining the value of a control parameter of the distension system. The method also involves repeating the steps of adjusting the distension device and determining the value of the control parameter until the control parameter is substantially convergent as a function of time. | 05-06-2010 |
20100114142 | POWERING IMPLANTABLE DISTENSION SYSTEMS USING INTERNAL ENERGY HARVESTING MEANS - An implant for placement within a hollow body organ. The implant includes a distension device having an undeployed shape for delivery within a hollow body and one or more deployed shapes for implantation therein. The distension device has sufficient rigidity in its deployed shape to exert an outward force against an interior of the hollow body so as to bring together two substantially opposing surfaces of the hollow body. The implant also includes a powered means for changing the deployed shape of the member while implanted within the hollow body including an apparatus operable to convert energy produced by the patient into energy to power the implantable device. | 05-06-2010 |
20100114143 | WEARABLE ELEMENTS FOR INTRA-GASTRIC SATIETY CREATIONS SYSTEMS - A device, including an implant for placement within a hollow body organ. The implant includes a member having an undeployed shape for delivery within a hollow body and one or more deployed shapes for implantation therein. The member has sufficient rigidity in its deployed shape to exert an outward force against an interior of the hollow body so as to bring together two substantially opposing surfaces of the hollow body. The implant includes a means for changing the deployed shape of the member while implanted within the hollow body. The device includes a wearable element configured to be worn by a patient, and has an external device coupled thereto and configured to send and/or receive a wireless signal to control the means for changing the deployed shape. | 05-06-2010 |
20100114144 | INTRA-GASTRIC SATIETY CREATION DEVICE WITH DATA HANDLING DEVICES AND METHODS - An implant for placement within a hollow body organ. The implant includes an implantable distension device having an undeployed shape for delivery within a hollow body and one or more deployed shapes for implantation therein. The implantable distension device has sufficient rigidity in its deployed shape to exert an outward force against an interior of the hollow body so as to bring together two substantially opposing surfaces of the hollow body. The implant includes a powered means for changing the deployed shape of the implantable distension device while implanted within the hollow body. The implant also includes an implantable sensing device in communication with the implantable distension device and configured to sense a parameter related to the implantable distension device and to communicate the parameter to a filter, the filter transmits a selected portion of the parameter to a data storage device. | 05-06-2010 |
20100114145 | METHODS AND DEVICES FOR FIXING ANTENNA ORIENTATION IN AN INTRA-GASTRIC SATIETY CREATION SYSTEM - A device, including an implant for placement within a hollow body organ. The implant includes a member having an undeployed shape for delivery within a hollow body and one or more deployed shapes for implantation therein. The member has sufficient rigidity in its deployed shape to exert an outward force against an interior of the hollow body so as to bring together two substantially opposing surfaces of the hollow body. The device includes a means for changing the deployed shape of the member while implanted within the hollow body. The means includes an antenna configured to wirelessly communicate with an external device. The external device is configured to communicate telemetrically with the member. The device further includes at least one means to limit rotational movement of the antenna relative at least one of the member and the external device. | 05-06-2010 |
20100114146 | METHODS AND DEVICES FOR PREDICTING INTRA-GASTRIC SATIETY AND SATIATION CREATION DEVICE SYSTEM PERFORMANCE - A method of affecting a weight loss treatment comprising the step of providing an implant for placement within a hollow body organ. The implant comprising a member having an undeployed shape for delivery within a hollow body and one or more deployed shapes for implantation therein. The member has sufficient rigidity in its deployed shape to exert an outward force against an interior of the hollow body so as to bring together two substantially opposing surfaces of the hollow body. The implant also includes a means for changing the deployed shape of the member while implanted within the hollow body. The method further includes the steps of implanting the implant within a patient, implanting a data gathering device within the patient, collecting physiological data of a patient relating to the implant, and comparing the data to a fixed value and changing the shape of the member. | 05-06-2010 |
20100114148 | DEVICES AND METHODS FOR ADJUSTING A SATIATION AND SATIETY-INDUCING IMPLANTED DEVICE - An implant for placement within a hollow body organ having a member with an undeployed shape, for delivery within a hollow body, and one or more deployed shapes, for implantation therein. The member has sufficient rigidity in its deployed shape to exert an outward force against an interior of the hollow body so as to bring together two substantially opposing surfaces of the hollow body. The implant also includes a means for changing the deployed shape of the member while implanted within the hollow body. | 05-06-2010 |
20100114149 | AUTOMATICALLY ADJUSTING INTRA-GASTRIC SATIATION AND SATIETY CREATION DEVICE - An implant for placement within a hollow body organ, the implant includes a distension device having an undeployed shape for delivery within a hollow body and one or more deployed shapes for implantation therein. The device has sufficient rigidity in its deployed shape to exert an outward force against an interior of the hollow body so as to bring together two substantially opposing surfaces of the hollow body. The implant further includes an implantable pump in fluid communication with the distension device and having a plurality of actuators configured to change the shape of the distension device upon the application of energy thereto such that sequential activation of the plurality of actuators is effective to create pumping action to move fluid through the pump. | 05-06-2010 |
20100137885 | Method And Apparatus For Endoscopically Performing Gastric Reduction Surgery In A Single Pass - A gastric reduction apparatus provides for the secure attachment of multiple fasteners into the gastric wall, the fasteners being linked with a flexible member in a manner permitting the reduction of the effective size of an individual's stomach. The apparatus includes an applicator head including a proximal end and a distal end. The applicator head of the gastric reduction apparatus includes a cavity shaped and dimensioned for receiving tissue. A fastener attachment mechanism is positioned within the cavity for access to tissue that is pulled within the cavity and the fastener attachment mechanism includes a plurality of fasteners. | 06-03-2010 |
20100185225 | GUI FOR AN IMPLANTABLE DISTENSION DEVICE AND A DATA LOGGER - A device, including a display and an implant for placement within a hollow body organ, the device includes a member having an undeployed shape for delivery within a hollow body and one or more deployed shapes for implantation therein. The member having sufficient rigidity in its deployed shape to exert an outward force against an interior of the hollow body so as to bring together two substantially opposing surfaces of the hollow body. The device includes a means for changing the deployed shape of the member while implanted within the hollow body. The device also includes a wireless device, external to a body of a patient, for controlling the means and for changing the deployed shape of the member while implanted within the hollow body. | 07-22-2010 |
20100228092 | SURGICAL ACCESS DEVICES AND METHODS PROVIDING SEAL MOVEMENT IN PREDEFINED PATHS - Various methods and devices are provided for allowing multiple surgical instruments to be inserted into sealing elements of a single surgical access device. The sealing elements can be movable along predefined pathways within the device to allow surgical instruments inserted through the sealing elements to be moved laterally, rotationally, angularly, and vertically relative to a central longitudinal axis of the device for ease of manipulation within a patient's body while maintaining insufflation. | 09-09-2010 |
20100228094 | SURGICAL ACCESS DEVICES AND METHODS PROVIDING SEAL MOVEMENT IN PREDEFINED MOVEMENT REGIONS - Various methods and devices are provided for allowing multiple surgical instruments to be inserted into sealing elements of a single surgical access device. The sealing elements can be movable along predefined pathways within the device to allow surgical instruments inserted through the sealing elements to be moved laterally, rotationally, angularly, and vertically relative to a central longitudinal axis of the device for ease of manipulation within a patient's body while maintaining insufflation. | 09-09-2010 |
20100305552 | ENDOSCOPIC SURGICAL INSTRUMENT WITH A HANDLE THAT CAN ARTICULATE WITH RESPECT TO THE SHAFT - A surgical instrument particular suited to endoscopic use is disclosed. Various embodiments include an end effector that is sized to be inserted through a trocar. An elongated shaft assembly is coupled to the end effector and a control handle. The elongated shaft assembly has a distal portion that is adjacent to said the effector for insertion into the trocar. The elongated shaft assembly further has a proximal portion that is remote from the distal portion such that the proximal portion protrudes from the trocar when the end effector and distal portion are inserted therethrough. The control handle is articulatably coupled to the proximal portion of said elongated shaft assembly to enable the surgeon to move the handle portion to a more ergonomically comfortable position while carrying out the endoscopic procedure. Various articulation joint embodiments and locking arrangements are disclosed. | 12-02-2010 |
20110006099 | SURGICAL STAPLING APPARATUS WITH CONTROL FEATURES OPERABLE WITH ONE HAND - A surgical stapling apparatus. Various embodiments include a rotatable elongated body that extends from a rotatable shroud on handle assembly and has a distal end configured for attachment to a disposable loading unit. The apparatus further includes a lockable rotation system for selectively locking the rotatable shroud to prevent rotation thereof about a longitudinal axis. | 01-13-2011 |
20110040313 | IMPLANTABLE RESTRICTION DEVICE WITH PROTECTIVE MEMBER - An implantable restriction device includes a belt and a balloon secured to the belt for engagement with tissue when the implantable restriction device is positioned about an organ. A protective member is associated with the balloon for positioning between the balloon and a tissue surface defining a band tissue interface. | 02-17-2011 |
20110060363 | SURGICAL STAPLES HAVING COMPRESSIBLE OR CRUSHABLE MEMBERS FOR SECURING TISSUE THEREIN AND STAPLING INSTRUMENTS FOR DEPLOYING THE SAME - A staple having a crown, a deformable leg extending from the crown, and a spring extending from the crown configured to compress tissue between the spring and the deformable member. Owing to the flexibility of the spring, the staple can accommodate a wide range of tissue thicknesses while still compressing the tissue captured therein. As a result, a single staple design can be used in a wide variety of surgical procedures thereby reducing the amount of staple designs that must be provided to the surgeon. In at least one embodiment, the staple includes a crushable member. This crushable member can include a plastically deformable first portion and an elastically deformable second portion. The present invention can also include, in various embodiments, a crown, a first deformable member extending from the crown, and means for compressing the tissue against the first deformable member. | 03-10-2011 |
20110071553 | IMPLANTABLE RESTRICTION SYSTEM WITH LOAD MONITOR - An apparatus for regulating the functioning of a patient's organ or duct includes an elongated member having a first end and a second end. A fastener is disposed on the first end of the elongated member. The fastener is configured to engage the second end of the elongated member so that the elongated member forms a loop around the organ or duct. A tension element is disposed for movement within the elongated member. A drive element is associated with and engages the tension element for causing the tension element to control the tension applied by the elongated member against a patient's body organ or duct. A load monitor ensures that excessive pressure is not applied to a patient's body organ or duct. | 03-24-2011 |
20110071558 | IMPLANTABLE RESTRICTION SYSTEM TENSION RELEASE MECHANISM - An apparatus for regulating the functioning of a patient's organ or duct includes an elongated member having a first end and a second end. A fastener is disposed on the first end of the elongated member. The fastener is configured to engage the second end of the elongated member so that the elongated member forms a loop around the organ or duct. A tension element is disposed for movement within the elongated member. A drive element is associated with and engages the tension element for causing the tension element to control the tension applied by the elongated member against a patient's body organ or duct. A tension release mechanism is associated with the tension element. | 03-24-2011 |
20110071646 | TISSUE INTERFACE FOR IMPLANTABLE RESTRICTION SYSTEM - An apparatus for regulating the functioning of a patient's organ or duct includes an elongated member having a first end and a second end. The elongated member has a compressible ventral surface and a substantially rigid dorsal periphery, wherein the elongated member includes a fluid bladder positioned along the ventral surface. A fastener is disposed on the first end of the elongated member. The fastener is configured to engage the second end of the elongated member so that the elongated member forms a loop around the organ or duct. A tension element is disposed for movement within the elongated member. A drive element is associated with and engages the tension element for causing the tension element to control the tension applied by the elongated member against a patient's body organ or duct. Alternate embodiments are also disclosed. | 03-24-2011 |
20110077671 | SUTURE MANAGEMENT - Various exemplary methods and devices are provided for tensioning suture. The methods and devices are particularly useful in surgical suturing applications in which it is desirable to maintain tension on suture being delivered, yet to allow the tension to be released as desired without retracting the suture. Thus, when tension is released, a length of suture extended from the device can remain extended without any tension being applied thereto. Tension is only applied to any additional length of suture that is extended from the device. The tension applied to the suture is proportional to the length of the suture extended from the device until the tension is released and reset. | 03-31-2011 |
20110082471 | Reloadable Laparoscopic Fastener Deploying Device - A device for deploying fasteners including a handle and at least one actuator. The handle is connected to an elongated hollow housing having distal and proximal ends. The device has a first cartridge containing at least one fastener releasably connectable to the handle. The device also includes an elongated pusher movable through the hollow housing from the proximal to the distal end to deploy the fasteners. The device further includes a deforming member for deforming the pusher at a proximal end thereof while advancing the pusher to the distal end of the housing. | 04-07-2011 |
20110100381 | Method of Treating Metabolic Disorder By Severing the Bile Duct - The present invention generally provides for a method of treating metabolic disorder by severing a bile duct from fluid communication with an intestine at a first target site adjacent the Oddi sphincter, thereby creating a severed bile duct. The method further involves re-establishing fluid communication of the severed bile duct with the intestine by attaching a distal end of the severed bile duct to a second target site along the intestine, wherein said second target site is distal to the first target site. | 05-05-2011 |
20110105985 | Treatment For Metabolic Disorders By Diverting Bile To the Circulatory System - The present invention generally provides for a method for diverting a portion of the bilopancreatic secretions of a patient to the circulatory system. The method involves placing a proximal end catheter adjacent the sphincter of oddi and diverting bilopancreatic secretions into the catheter. The method further involves placing a distal end of the catheter within the lumen of the circulatory system of a patient. | 05-05-2011 |
20110106225 | Method For Surgically Treating A Patient By Deactivating A Portion Of The Digestive Enzymes - The present invention generally provides for correcting an imbalance between caloric intake and caloric expenditure in patients, as well as for treating co-morbidities often associated therewith, which is non-invasive or minimally invasive and which may be reversible. More specifically, the present invention provides systems which cause metabolic improvement in a patient by controlling the amount of bile available for food breakdown or by controlling the effective absorption time and area by delivering bile to selected locations in the intestinal tract. These methods and devices fall under three general categories: bile diversion systems, bile manipulation systems, and surgical methods. | 05-05-2011 |
20110132962 | SURGICAL STAPLING APPARATUS WITH CONTROL FEATURES - A surgical stapling apparatus. Various embodiments include a rotatable elongated body that extends from a rotatable shroud on handle assembly and has a distal end configured for attachment to a disposable loading unit. The apparatus further includes a lockable rotation system for selectively locking the rotatable shroud to prevent rotation thereof about a longitudinal axis. | 06-09-2011 |
20110132964 | END EFFECTOR COUPLING ARRANGEMENTS FOR A SURGICAL CUTTING AND STAPLING INSTRUMENT - In various embodiments, a surgical stapling instrument can include a handle, a shaft extending from the handle, wherein the shaft defines an axis, and a disposable loading unit which is assembled to the shaft in a direction which is transverse to the shaft axis. Such a connection between the disposable loading unit and the shaft can prevent, or at least inhibit, the disposable loading unit from being unintentionally displaced proximally and/or distally relative to the shaft of the surgical instrument. The surgical stapling instrument and/or disposable loading unit can further include a threaded collar and/or detent assembly configured to hold the disposable loading unit in place. In various embodiments, a disposable loading unit can include a lockout feature which can prevent, or at least inhibit, an expended disposable loading unit from being reassembled to the elongated body of the surgical instrument. | 06-09-2011 |
20110137324 | SURGICAL CLIP AND APPLIER DEVICE AND METHOD OF USE - A surgical clip is provided for ligating or transecting tissue, such as vessels, other tubular ducts, and the like and a surgical clip applier device for delivering and applying the surgical clip to the tissue. The surgical clip can include a spine and opposed arms extending from the spine where the aims can define a clamping length. In a resting state, the clip can be biased to a closed position such that the ends of each opposed arm are disposed in proximity to each other. With such biasing, when applied to a tissue, such as with a surgical clip applier, the clip can exert a positive clamping pressure to the tissue along the clamping length to seal the tissue and limit passage of fluids, such as blood, from the tissue. | 06-09-2011 |
20110144430 | ARTICULATING ENDOSCOPIC ACCESSORY CHANNEL - Methods and devices are provided for controlling movement of a working end of a surgical device. In one embodiment, methods and devices are provided for moving an end effector on a distal end of a surgical fastening device. Movement can include rotational movement of the end effector about an axis of the shaft, articulation of the end effector relative to the shaft, and actuation of an end effector, e.g., closing, firing, and/or cutting. In other embodiments, a single cable actuator is provided and is movable between a first position, in which it is effective to rotate an end effector without actuating (i.e., closing and firing) the end effector, and a second position, in which it is effective to actuate the end effector without rotating the end effector. In other aspects, methods and devices are provided for moving a flexible neck formed on a distal end of an accessory channel for use with an endoscope. Movement of the flexible neck can be used to control positioning of a tool extending through the flexible neck. | 06-16-2011 |
20110144437 | METHODS AND DEVICES FOR PROVIDING SURGICAL ACCESS THROUGH TISSUE TO A SURGICAL SITE - Methods and devices are provided for providing surgical access into a body cavity. A surgical access port is provided that has an adjustable longitudinal length, such as by being formed from multiple segments configured to move relative to one another. An anchor can be coupled to a distal end of the surgical access port to help secure the surgical access port within a tissue opening by engaging a distal side of the tissue. Optionally, the anchor can be removably coupled to the distal end of the surgical access port, thereby allowing any one of a plurality of anchors to be selectively coupled thereto. | 06-16-2011 |
20110144449 | METHODS AND DEVICES FOR PROVIDING ACCESS THROUGH TISSUE TO A SURGICAL SITE - Methods and devices are provided for providing access through tissue to a surgical site. Generally, the methods and devices allow adjustment of a surgical access port's longitudinal length. In one embodiment, a surgical access port is provided that includes a housing having a cannula distally extending therefrom. The housing can be configured to cut a proximal portion of the cannula to adjust a longitudinal length of the cannula and hence of the surgical access port. In another embodiment, a surgical access port is provided that includes a cannula formed of a plurality of modular segments removably coupled together. One or more of the segments can be configured to be removable from the cannula to change the cannula's longitudinal length. | 06-16-2011 |
20110144589 | INVERTED CONICAL EXPANDABLE RETRACTOR - Access devices and related methods are disclosed that generally involve flexible or adjustable cannulas that have a substantially cylindrical insertion configuration and a substantially conical expanded configuration. Various methods and features are provided for transitioning the cannula from the insertion configuration to the expanded configuration while the access device is inserted through tissue to form a conical opening through the tissue. Examples include cables, biasing elements, retaining elements, bimodal rings, and coil springs. The devices and methods disclosed herein can allow for improved retention of the access device, improved angulation of instruments passed through the access device, and can increase the integrity of a seal formed between the access device and surrounding tissue. | 06-16-2011 |
20110163146 | Surgical Stapling And Cuttting Device - A surgical stapling and cutting device having an elongate shaft with proximal and distal ends. The distal end of the shaft has a flexible neck extending therefrom. The device includes an end effector disposed on a proximal end of the flexible neck. The end effector includes opposed first and second jaws adapted to receive tissue therebetween. The first jaw has a staple cartridge attached thereto, wherein the staple cartridge has multiple staples disposed therein for being driven into tissue. The second jaw includes an anvil for deforming the staples. The device also includes a remotely controlled user interface coupled to the proximal end of the elongate tube. The interface is operatively associated with the flexible neck such that movement of the remotely controlled user interface is mimicked by the flexible neck. | 07-07-2011 |
20110270360 | METHODS AND DEVICES FOR ACTIVATING BROWN APIDOSE TISSUE USING ELECTRICAL ENERGY - Methods and devices are provided for activating brown adipose tissue (BAT). Generally, the methods and devices can activate BAT to increase thermogenesis, e.g., increase heat production in the patient, which over time can lead to weight loss. In one embodiment, a medical device is provided that activates BAT by electrically stimulating nerves that activate the BAT and/or electrically stimulating brown adipocytes directly, thereby increasing thermogenesis in the BAT and inducing weight loss through energy expenditure. | 11-03-2011 |
20110295054 | Method of Filling an Intraluminal Reservoir with a Therapeutic Substance - Methods described herein involve introducing a nasogastric tube into a patient, connecting the nasogastric tube with a reservoir, anchoring the nasogastric tube with the nasal cavity, and introducing a substance into the reservoir through the nasogastric tube. | 12-01-2011 |
20110295055 | Methods and Devices For The Rerouting Of Chyme To Induct Intestinal Brake - Methods and devices reroute chyme to induce intestinal brake in order to improve the effectiveness of bariatric surgical procedures and to improve comorbidity resolution. A bowel is manipulated to provide a shortened path for chyme to travel to the ileum. These methods and devices of rerouting chyme to induce intestinal brake may comprise one or more of a surgical procedure, an implanted device, or a combination of an implant with an improved surgical procedure. | 12-01-2011 |
20110295056 | SYSTEMS AND METHODS FOR GASTRIC VOLUME REGULATION - Devices and methods for modifying stomach volume include the formation of intragastric slots for wrapping one or more portions of the fundus therethrough with minimal interference with nerves and vasculature flow. Intragastric space occupying devices expand with environmental changes brought about by natural conditions inherent to the digestive cycle such as with changes in pH. Extragastric volume occupying balloons are placed into folded stomach sections. The balloons are fluidly coupled to external gastric filling devices. In yet another set of embodiments, methods and devices provide adjustable gastric volume reduction fundal wraps. In one embodiment, a device is placed in the fundus for Nissen fundoplication and permits postoperative adjustment to reach desired weight loss. Intragastric and extragastric balloons are optionally incorporated. | 12-01-2011 |
20110295057 | SYSTEMS AND METHODS FOR GASTRIC VOLUME REGULATION - Devices and methods for modifying stomach volume include the formation of intragastric slots for wrapping one or more portions of the fundus therethrough with minimal interference with nerves and vasculature flow. Intragastric space occupying devices expand with environmental changes brought about by natural conditions inherent to the digestive cycle such as with changes in pH. Extragastric volume occupying balloons are placed into folded stomach sections. The balloons are fluidly coupled to external gastric filling devices. In yet another set of embodiments, methods and devices provide adjustable gastric volume reduction fundal wraps. In one embodiment, a device is placed in the fundus for Nissen fundoplication and permits postoperative adjustment to reach desired weight loss. Intragastric and extragastric balloons are optionally incorporated. | 12-01-2011 |
20110295151 | Enteroendocrine Manipulation for Metabolic Effect - L-cells may be introduced in the gastrointestinal tract. L-cells are used in the digestive process to produce a more efficient and lasting means of regulating feelings of satiation in a patient. Desired metabolic effects may be achieved by manipulating L-cells via delivery sites, frequency of delivery, or type of biological substance delivered. | 12-01-2011 |
20110295178 | Intestinal Brake Inducing Intraluminal Therapeutic Substance Eluting Devices and Methods - Methods and devices create an intestinal braking effect, are non-invasive or minimally invasive, and may be reversible. These methods and devices may be accomplished via stabilized implantable systems and ingestible pills. In one aspect, a method of inducing satiety includes implanting an implant within a lumen of a gastrointestinal tract and retaining a portion of chyme that flows by the implant within a body of the implant. The method further involves re-releasing the retained chyme from the implant into the gastrointestinal tract at a predetermined rate slower than a rate caused by natural peristalsis. | 12-01-2011 |
20110295179 | METHODS AND DEVICES FOR REGULATING THE ACTIVATION OF GHRELIN HORMONES WITHIN A STOMACH - Methods and devices regulate the activation of ghrelin hormones within a stomach in order to treat weight disorders, to promote learning and memory functions, to treat stress-induced depression, and to control sleep duration. In one embodiment, a method for regulating activation of ghrelin hormones within a stomach comprises a means for isolating non-activated ghrelin hormones from food content and dietary lipids within the stomach. These means for isolating may take any number of forms and may comprise one or more of a surgical procedure, an implanted device, or an ingestible substance. | 12-01-2011 |
20110295180 | INTESTINAL BRAKE INDUCING INTRALUMINAL THERAPEUTIC SUBSTANCE ELUTING DEVICES AND METHODS - Methods and devices create an intestinal braking effect, are non-invasive or minimally invasive, and may be reversible. These methods and devices are accomplished via stabilized implantable systems, and ingestible pills. In one embodiment, the implantable system comprises a device delivering a therapeutic substance to a target location within the gastrointestinal tract of a patient in order to initiate an intestinal braking effect which would promote sensations of satiety and stimulate excess weight loss for the patient. | 12-01-2011 |
20110295185 | Intestinal Brake Inducing Intraluminal Therapeutic Substance Eluting Devices and Methods - Methods and devices create an intestinal braking effect, are non-invasive or minimally invasive, and may be reversible. These methods and devices are accomplished via stabilized implantable systems and ingestible pills. In one embodiment, a method of producing satiety comprising the steps of accessing a gastrointestinal tract of a patient and implanting an intraintestinal therapeutic substance eluting implant. The implant is capable of eluting a satiety inducing substance selected from at least one of a nutrient, a specific satiety inducing bio-active substance, pancreatic polypeptides, free fatty acids, cholecystokinin, amino acids, glutamine, lipids, linoleic acid, or a combination thereof, from the implant into the gastrointestinal tract. | 12-01-2011 |
20110295242 | ROBOTICALLY-CONTROLLED ENDOSCOPIC ACCESSORY CHANNEL - Devices and systems are provided for controlling movement of a working end of a surgical device by means of a robotic system. In one embodiment, systems and devices are provided for moving an end effector on a distal end of a surgical fastening device. Movement can include rotational movement of the end effector about an axis of the shaft, articulation of the end effector relative to the shaft, and actuation of an end effector, e.g., closing, firing, and/or cutting. | 12-01-2011 |
20110295286 | METHODS AND DEVICES FOR REGULATING THE ACTIVATION OF GHRELIN HORMONES WITHIN A STOMACH - Methods and devices regulate the activation of ghrelin hormones within a stomach in order to treat weight disorders, to promote learning and memory functions, to treat stress-induced depression, and to control sleep duration. In one embodiment, a method for regulating activation of ghrelin hormones within a stomach comprises a means for isolating non-activated ghrelin hormones from food content and dietary lipids within the stomach. These means for isolating may take any number of forms and may comprise one or more of a surgical procedure, an implanted device, or an ingestible substance. | 12-01-2011 |
20110295337 | Systems and Methods For Regulating Metabolic Hormone Producing Tissue - A method for regulating hormone production comprises placing at least one electrode in a gastrointestinal tract of a patient and recording an electrical signal during a preselected event produced by the gastrointestinal tract. The method further involves the steps of storing the electrical signal, and playing back the electrical signal by activating the electrode during the absence of the preselected event. | 12-01-2011 |
20120080495 | RELOADABLE LAPAROSCOPIC FASTENER DEPLOYING DEVICE - A device for deploying fasteners including a handle and at least one actuator. The handle is connected to an elongated hollow housing having distal and proximal ends. The device has a first cartridge containing at least one fastener releasably connectable to the handle. The device also includes an elongated pusher movable through the hollow housing from the proximal to the distal end to deploy the fasteners. The device further includes a deforming member for deforming the pusher at a proximal end thereof while advancing the pusher to the distal end of the housing. | 04-05-2012 |
20120118935 | METHOD AND APPARATUS FOR ENDOSCOPICALLY PERFORMING GASTRIC REDUCTION SURGERY IN A SINGLE PASS - A gastric reduction apparatus provides for the secure attachment of multiple fasteners into the gastric wall, the fasteners being linked with a flexible member in a manner permitting the reduction of the effective size of an individual's stomach. The apparatus includes an applicator head including a proximal end and a distal end. The applicator head of the gastric reduction apparatus includes a cavity shaped and dimensioned for receiving tissue. A fastener attachment mechanism is positioned within the cavity for access to tissue that is pulled within the cavity and the fastener attachment mechanism includes a plurality of fasteners. | 05-17-2012 |
20120165792 | Pill Catchers - Devices and related methods arc provided for the controlled delivery of a therapeutic to a targeted location within a body. More particularly, methods and devices are provided for controlling the rate of passage of an orally administered pill through a body, as well as for controlling the delivery of a therapeutic within the pill at a specific location within the body. Various types of devices, generally referred to herein as “catchers,” are provided that can actively catch a pill as it passes through a body. The catcher can hold the pill at a specific location within the body until a predetermined event occurs, such as partial or complete. administration of a therapeutic within the pill. The catcher can then release the pill upon command and/or upon the occurrence of the predetermined event to allow the pill to pass out of the body. In other embodiments, various types of pills are provided that can actively engage a catcher and remain engaged with the catcher until a predetermined event occurs. | 06-28-2012 |
20120165793 | Pill Catchers - Devices and related methods are provided for the controlled delivery of a therapeutic to a targeted location within a body. More particularly, methods and devices are provided for controlling the rate of passage of an orally administered pill through a body, as well as for controlling the delivery of a therapeutic within the pill at a specific location within the body. Various types of devices, generally referred to herein as “catchers,” are provided that can actively catch a pill as it passes through a body. The catcher can hold the pill at a specific location within the body until a predetermined event occurs, such as partial or complete administration of a therapeutic within the pill. The catcher can then release the pill upon command and/or upon the occurrence of the predetermined event to allow the pill to pass out of the body. In other embodiments, various types of pills are provided that can actively engage a catcher and remain engaged with the catcher until a predetermined event occurs. | 06-28-2012 |
20120165794 | Pill Catchers - Devices and related methods are provided for the controlled delivery of a therapeutic to a targeted location within a body. More particularly, methods and devices are provided for controlling the rate of passage of an orally administered pill through a body, as well as for controlling the delivery of a therapeutic within the pill at a specific location within the body. Various types of devices, generally referred to herein as “catchers,” are provided that can actively catch a pill as it passes through a body. The catcher can hold the pill at a specific location within the body until a predetermined event occurs, such as partial or complete administration of a therapeutic within the pill. The catcher can then release the pill upon command and/or upon the occurrence of the predetermined event to allow the pill to pass out of the body. In other embodiments, various types of pills are provided that can actively engage a catcher and remain engaged with the catcher until a predetermined event occurs. | 06-28-2012 |
20120165796 | Pill Catchers - Devices and related methods are provided for the controlled delivery of a therapeutic to a targeted location within a body. More particularly, methods and devices are provided for controlling the rate of passage of an orally administered pill through a body, as well as for controlling the delivery of a therapeutic within the pill at a specific location within the body. Various types of devices, generally referred to herein as “catchers,” are provided that can actively catch a pill as it passes through a body. The catcher can hold the pill at a specific location within the body until a predetermined event occurs, such as partial or complete administration of a therapeutic within the pill. The catcher can then release the pill upon command and/or upon the occurrence of the predetermined event to allow the pill to pass out of the body. In other embodiments, various types of pills are provided that can actively engage a catcher and remain engaged with the catcher until a predetermined event occurs. | 06-28-2012 |
20120172783 | OBESITY THERAPY AND HEART RATE VARIABILITY - Methods and devices are provided for delivering obesity therapy to a patient. In general, the methods and devices allow for onset of a patient eating solid food, e.g., the patient beginning a meal, to trigger delivery of an obesity therapy to a patient. The obesity therapy can be delivered to the patient for a limited period of time such that the patient stops receiving the obesity therapy prior to a second onset of the patient eating solid food, e.g., the patient beginning a second meal, which can trigger a second delivery of the obesity therapy to the patient for a limited period of time. | 07-05-2012 |
20120199632 | ROBOTICALLY-CONTROLLED SURGICAL INSTRUMENT WITH SELECTIVELY ARTICULATABLE END EFFECTOR - Devices and systems are provided for controlling movement of a working end of a surgical device by means of a robotic system. In one embodiment, systems and devices are provided for moving an end effector on a distal end of a surgical fastening device. Movement can include rotational movement of the end effector about an axis of the shaft, articulation of the end effector relative to the shaft, and actuation of an end effector, e.g., closing, firing, and/or cutting. | 08-09-2012 |
20120234892 | MULTIPLE PART ANVIL ASSEMBLIES FOR CIRCULAR SURGICAL STAPLING DEVICES - Circular stapling instruments and anvil assemblies. The anvil assemblies may have collapsible anvil support members that may be inserted through an opening in a patient and then expanded to be attached to an anvil plate assembly that has a staple-forming surface thereon. The anvil support member is attachable to the anvil plate assembly in such a way that when the anvil assembly is coupled to the stapling head of a circular stapler, the staple-forming surface is in substantial registry with the staples supported in the stapling head. A variety of different anvil support members and anvil plate assemblies are disclosed. | 09-20-2012 |
20120239010 | MODULAR SURGICAL TOOL SYSTEMS - Modular surgical instruments are disclosed. In various embodiments, a modular surgical instrument t is disclosed for use with a plurality of interchangeable surgical tool heads that are configured to perform different surgical actions. The instrument is configured to apply a plurality of different rotary drive motions and axial drive motions depending upon the type of surgical tool head attached thereto. | 09-20-2012 |
20120283748 | SURGICAL FASTENER AND CUTTER WITH MIMICKING END EFFECTOR - Methods and devices are provided for controlling movement of a working end of a surgical device. In one embodiment, methods and devices are provided for moving an end effector on a distal end of a surgical fastening device. Movement can include rotational movement of the end effector about an axis of the shaft, articulation of the end effector relative to the shaft, and actuation of an end effector, e.g., closing, firing, and/or cutting. In other embodiments, a single cable actuator is provided and is movable between a first position, in which it is effective to rotate an end effector without actuating (i.e., closing and firing) the end effector, and a second position, in which it is effective to actuate the end effector without rotating the end effector. In other aspects, methods and devices are provided for moving a flexible neck formed on a distal end of an accessory channel for use with an endoscope. Movement of the flexible neck can be used to control positioning of a tool extending through the flexible neck. | 11-08-2012 |
20120286019 | SURGICAL STAPLING APPARATUS WITH LOAD-SENSITIVE FIRING MECHANISM - A surgical stapling apparatus having an end effector capable of performing a surgical procedure. The surgical stapling apparatus may include a driving pawl that interfaces with a manually actuatable handle. The driving pawl may have a pawl body with a driving tooth thereon that is configured to interact with an actuation shaft such that, as the manually actuatable handle is actuated, the driving tooth interacts with the actuation shaft to cause the actuation shaft to apply the actuation motions to an elongated body operably coupled to the end effector. When the end effector experiences a firing load that exceeds a predetermined magnitude of firing load, the driving tooth moves relative to the pawl body to disengage from the actuation shaft to prevent further transfer of the actuation motions to the elongated body even though the manually actuatable handle continues to be actuated. | 11-15-2012 |
20130012931 | ARTICULATABLE SURGICAL DEVICE - Methods and devices are provided for controlling movement of a working end of a surgical device. In one embodiment, methods and devices are provided for moving an end effector on a distal end of a surgical fastening device. Movement can include rotational movement of the end effector about an axis of the shaft, articulation of the end effector relative to the shaft, and actuation of an end effector, e.g., closing, firing, and/or cutting. In other embodiments, a single cable actuator is provided and is movable between a first position, in which it is effective to rotate an end effector without actuating (i.e., closing and firing) the end effector, and a second position, in which it is effective to actuate the end effector without rotating the end effector. In other aspects, methods and devices are provided for moving a flexible neck formed on a distal end of an accessory channel for use with an endoscope. Movement of the flexible neck can be used to control positioning of a tool extending through the flexible neck. | 01-10-2013 |
20130030350 | Devices and Methods for Anchoring an Endoluminal Sleeve in the GI Tract - An endoluminal sleeve device for internally lining a section of the GI tract, comprises a sleeve configured for deployment inside a duodenum, the sleeve having walls of a flexible material defining a sleeve lumen, a proximal end defining a proximal lumen opening, and a distal end defining a distal lumen opening, an anchoring component having a slender transport configuration and a bulky deployed configuration, wherein the anchoring component is locatable at a distance from the proximal sleeve end and connected thereto by an elongated tether. | 01-31-2013 |
20130126583 | SURGICAL STAPLING APPARATUS WITH LOAD-SENSITIVE FIRING MECHANISM - A surgical stapling apparatus having an end effector capable of performing a surgical procedure. The surgical stapling apparatus may include a driving pawl that interfaces with a manually actuatable handle. The driving pawl may have a pawl body with a driving tooth thereon that is configured to interact with an actuation shaft such that, as the manually actuatable handle is actuated, the driving tooth interacts with the actuation shaft to cause the actuation shaft to apply the actuation motions to an elongated body operably coupled to the end effector. When the end effector experiences a firing load that exceeds a predetermined magnitude of firing load, the driving tooth moves relative to the pawl body to disengage from the actuation shaft to prevent further transfer of the actuation motions to the elongated body even though the manually actuatable handle continues to be actuated. | 05-23-2013 |
20130172929 | METHOD FOR FORMING A STAPLE - A method for deforming a staple comprising a base, a first staple leg, and a second staple leg, wherein the base, the first staple leg, and the second staple leg are positioned within a common plane prior to being deformed, the method comprising positioning the first staple leg within a first cup of a staple pocket, the first cup comprising a first inner surface, applying a first compressive force to the first staple leg to bend the first staple leg toward the base and the second staple leg, contacting the first inner surface with the end of the first staple leg to bend the end of the first staple leg toward a first side of the base, and deforming the first staple leg such that the end of the first staple leg crosses a mid-line of the staple defined between the first staple leg and the second staple leg. | 07-04-2013 |
20130197556 | ARTICULATABLE SURGICAL DEVICE WITH ROTARY DRIVEN CUTTING MEMBER - Methods and devices are provided for controlling movement of a working end of a surgical device. In one embodiment, methods and devices are provided for moving an end effector on a distal end of a surgical fastening device. Movement can include rotational movement of the end effector about an axis of the shaft, articulation of the end effector relative to the shaft, and actuation of an end effector, e.g., closing, firing, and/or cutting. In other embodiments, a single cable actuator is provided and is movable between a first position, in which it is effective to rotate an end effector without actuating (i.e., closing and firing) the end effector, and a second position, in which it is effective to actuate the end effector without rotating the end effector. In other aspects, methods and devices are provided for moving a flexible neck formed on a distal end of an accessory channel for use with an endoscope. Movement of the flexible neck can be used to control positioning of a tool extending through the flexible neck. | 08-01-2013 |
20130256373 | DEVICES AND METHODS FOR ATTACHING TISSUE THICKNESS COMPENSATING MATERIALS TO SURGICAL STAPLING INSTRUMENTS - Surgical stapling instruments are disclosed. At least one embodiment includes a first jaw that supports a plurality of surgical staples and a second jaw that is movable relative to the first jaw. Various arrangements include a tissue thickness compensator that is configured to be captured within the surgical staples and assume different compressed heights within different surgical staples upon application of a firing motion to the surgical staples. Various attachment protrusion arrangements are disclosed to mechanically removably attach the tissue thickness compensator to the first or second jaw. | 10-03-2013 |
20130256374 | TISSUE STAPLER HAVING A THICKNESS COMPENSATOR INCORPORATING A HYDROPHILIC AGENT - A staple cartridge assembly for use with a surgical stapler. The assembly has a cartridge body having a support portion with a plurality of staple cavities with openings. There is also a plurality of staples, wherein at least a portion of each the staple is removably stored within a the staple cavity. Each the staple is movable between an unfired position and a fired position, and is deformable between an unfired configuration and a fired configuration. The assembly also includes a compressible tissue thickness compensator configured to be captured within the staples. The compressible tissue thickness compensator at least partially covers the staple cavity openings. The compressed tissue thickness compensator is configured to assume different compressed heights within different the staples. The compressible tissue thickness compensator comprising a lyophilized foam having a hydrophillic agent embedded therein. | 10-03-2013 |
20140155807 | INTESTINAL BRAKE INDUCING INTRALUMINAL THERAPEUTIC SUBSTANCE ELUTING DEVICES AND METHODS - Methods and devices create an intestinal braking effect, are non-invasive or minimally invasive, and may be reversible. These methods and devices are accomplished via stabilized implantable systems, and ingestible pills. In one embodiment, the implantable system comprises a device delivering a therapeutic substance to a target location within the gastrointestinal tract of a patient in order to initiate an intestinal braking effect which would promote sensations of satiety and stimulate excess weight loss for the patient. | 06-05-2014 |
20140180192 | Device for Anchoring an Endoluminal Sleeve in the GI Tract - Endoluminal sleeve device ( | 06-26-2014 |
20140291383 | ROBOTICALLY-CONTROLLED SURGICAL INSTRUMENT WITH SELECTIVELY ARTICULATABLE END EFFECTOR - Devices and systems are provided for controlling movement of a working end of a surgical device by means of a robotic system. In one embodiment, systems and devices are provided for moving an end effector on a distal end of a surgical fastening device. Movement can include rotational movement of the end effector about an axis of the shaft, articulation of the end effector relative to the shaft, and actuation of an end effector, e.g., closing, firing, and/or cutting. | 10-02-2014 |
20140305986 | SURGICAL STAPLING APPARATUS WITH CONTROL FEATURES OPERABLE WITH ONE HAND - A surgical stapling apparatus. Various embodiments include a rotatable elongated body that extends from a rotatable shroud on handle assembly and has a distal end configured for attachment to a disposable loading unit. The apparatus further includes a lockable rotation system for selectively locking the rotatable shroud to prevent rotation thereof about a longitudinal axis. | 10-16-2014 |
20150038987 | Applier For Anchoring A Lining To A Hollow Organ - The present invention relates generally to medical apparatuses and methods and more particularly to devices and methods for positioning and anchoring a lining to a hollow body organ, such as a stomach, intestine or gastrointestinal tract. | 02-05-2015 |
20150045850 | DEVICES AND METHODS FOR THE TREATMENT OF METABOLIC DISORDERS - An implantable system for stimulating the release of satiety hormone in a subject comprises a stimulus device ( | 02-12-2015 |
20150060521 | END EFFECTOR COUPLING ARRANGEMENTS FOR A SURGICAL CUTTING AND STAPLING INSTRUMENT - In various embodiments, a surgical stapling instrument can include a handle, a shaft extending from the handle, wherein the shaft defines an axis, and a disposable loading unit which is assembled to the shaft in a direction which is transverse to the shaft axis. Such a connection between the disposable loading unit and the shaft can prevent, or at least inhibit, the disposable loading unit from being unintentionally displaced proximally and/or distally relative to the shaft of the surgical instrument. The surgical stapling instrument and/or disposable loading unit can further include a threaded collar and/or detent assembly configured to hold the disposable loading unit in place. In various embodiments, a disposable loading unit can include a lockout feature which can prevent, or at least inhibit, an expended disposable loading unit from being reassembled to the elongated body of the surgical instrument. | 03-05-2015 |
20150065938 | ENDOSCOPIC TRANSORAL DUODENAL SLEEVE APPLIER - A duodenal sleeve assembly comprises a sleeve, an expandable sealing member, a tether, and an expandable anchor. The sleeve is secured to the sealing member. The tether couples the anchor with the sealing member. A deployment instrument comprises a shaft assembly, a first retention member, and a second retention member. The first retention member selectively secures the sealing member to the shaft assembly. The second retention member selectively secures the anchor to the shaft assembly. When the first retention member is released, the sealing member expands outwardly to seal the proximal end of the sleeve against the mucosa of the patient's duodenum. When the second retention member is released, the anchor expands outwardly within the stomach to anchor the sleeve assembly relative to the stomach. The tether traverses the pylorus. The sleeve isolates chyme from enzymes in the duodenum; and the mucosa of the duodenum from nutrients in the chyme. | 03-05-2015 |
20150080915 | Surgical Clip and Applier Device and Method of Use - A surgical clip is provided for ligating or transecting tissue, such as vessels, other tubular ducts, and the like and a surgical clip applier device for delivering and applying the surgical clip to the tissue. The surgical clip can include a spine and opposed arms extending from the spine where the arms can define a clamping length. In a resting state, the clip can be biased to a closed position such that the ends of each opposed arm are disposed in proximity to each other. With such biasing, when applied to a tissue, such as with a surgical clip applier, the clip can exert a positive clamping pressure to the tissue along the clamping length to seal the tissue and limit passage of fluids, such as blood, from the tissue. | 03-19-2015 |